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I listened to the audiobook which - language-wise - was fine but I was very confused. I then read parts of the book and that makes much more sense - especially since there are also some visual clues on what is going on (the audio clues in the audiobook didn't convey the same to me).
I would recommend the book over the audiobook but I still ended up reading an explanation.
While it is supposedly horror, it's typical Japanese horror which I never find actually scary but at most unsettling. They do creepy well and this is no exception.